As assigned by State Of Maryland. THIS NUMBER IS NOT YOUR FEDERAL ID#, OR YOUR CENTRAL
REGISTRATION NUMBER.

11 - 13

Reporting Period YYQ

3

Enter the last 2 digits of the year and the quarter number i.e. 041

14 - 22

Employee Social Security Number

9

All numeric 111111111, if unknown.

23

Employee Initial

1

First letter of the first name.

24 - 26

Employee’s Last Name

3

Only the first 3 letters of the last name (omit hyphens, apostrophes or special characters)

27

Blank

1

Blank

28 - 34

Employee’s Wages

7

Total wages paid for the quarter in question (zero fill). Cents of 49 or less, round
down to the lowest whole dollar. Cents of 50 or more, round up to the next whole dollar. Example of wages,
$255,429.50 report as 0255430